Individual provider · Type 1 NPI

Lucas R. Derting, PA-C

Physician Assistant · Pueblo, CO

NPI number 1306846381 Active · reactivated Apr 11, 2006

Practice location

1600 North Grand Avenue, Suite 500
Pueblo, CO 81003-2757

Call (719) 545-0663 Map

Fax (719) 595-7903

Mailing address

PO Box 560825
Denver, CO 80256-0825

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X1080 (CO)
Surgical Physician Assistant 363AS0400X1080 (CO)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1306846381

Lucas R. Derting, PA-C's National Provider Identifier is 1306846381, issued on Jul 29, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Pueblo, CO. The record was last updated on Nov 3, 2016.